NPIMap

Individual provider Active NPI

Philip H Swanson, M.D.

  • Surgery Physician
  • Southlake, TX
National Provider Identifier
1972546943
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G6237 Issued in TX
Practice address
200 E Southlake Blvd
Suite 10
Southlake, TX 76092-6238
Phone
(817) 424-2606
Fax
(817) 424-2487
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G6237 TX Primary

Addresses

Primary practice location

200 E Southlake Blvd
Suite 10
Southlake, TX 76092-6238

Mailing address

200 E Southlake Blvd
Suite 10
Southlake, TX 76092-6238
Phone (817) 424-2606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Group of North Texas, PLLC Surgery Past Accepting new patients
Surgical Group of North Texas, PLLC Surgery PastSince Dec 15, 2019 Accepting new patients
Philip H Swanson MD PA Surgery Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1972546943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E SOUTHLAKE BLVD",
            "address_2": "SUITE 10",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926238",
            "telephone_number": "817-424-2606",
            "fax_number": "817-424-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E SOUTHLAKE BLVD",
            "address_2": "SUITE 10",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926238",
            "telephone_number": "817-424-2606",
            "fax_number": "817-424-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "PHILIP",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G6237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.